深Ⅱ度烧伤创面换药间隔时间与创面感染的研究.docVIP

深Ⅱ度烧伤创面换药间隔时间与创面感染的研究 　　【摘要】 目的：探讨深Ⅱ度烧伤创面换药间隔时间与创面感染的关系，为指导换药间隔时间提供理论依据。方法：选择深Ⅱ度烧伤，成人烧伤面积11%～50%，小儿6%～25%的患者300例作为观察对象，按患者入科和换药时间顺序分为24 h组102例、48 h组134例、72 h组64例。每次换药均取3～4个点标本进行细菌培养及敏感试验，视创面感染情况改变换药频次及治疗方案，并对相关数据进行统计分析。结果：48 h组与24 h组发生创面感染比较差异无统计学意义（P0.05），而与72 h组发生创面感染比较差异有统计学意义（P0.01）；48 h组创面治疗费用最低，与24 h组、72 h组比较差异有统计学意义（P0.01）；48 h组处理创面工作量最少。结论：换药48 h/次创面感染发生率低，工作量少，减轻了患者的痛苦及经济负担，值得临床推广应用。 　　【关键词】 深Ⅱ度烧伤； 换药间隔时间； 细菌培养； 创面感染 　　Study on Wound Dressing Interval Time and Wound Infection of Deep Ⅱ Degree Burn/LIANG Shi-lan，QIN Qiu-hai，WEI Ying-ting.//Medical Innovation of China，2015，12（34）：044-047 　　【Abstract】 Objective：To explore the relationship between the deep Ⅱ degree burn wound dressing interval time and wound infection，then to provide a theoretical basis for guiding dressing interval time. Method：300 patients with deep second degree burn，adult burn area of 11%-50% and children burn area of 6%-25% were selected as the observation objects.According to the patients into the hospital and dressing interval time，they were divided into 24 h group of 102 cases，48 h group of 134 cases，72 h group of 64 cases.Each change points were taken 3-4 specimens for bacterial culture and sensitivity test as the change of frequency of wound infection and treatment plan of dressing，and the relevant data was analyzed.Result： In wound infection，48 h group and 24 h group had no significant difference （P0.05），but compared 48 h group and 72h group the difference was statistically significant（P0.01）.Compared with 24 h group and 72h group， 48 h group was the lowest cost treatment，the difference was statistically significant（P0.01）. The wound workload of 48 h group was the least.Conclusion： Dressing interval time of 48 hours once time has low incidence of wound infection and less work， it reduces the pain and economic burden of the patients.It is worthy of clinical application. 　　【Key words】 Deep second degree burn； Dressing interval time； Bacterial culture； Wound infection 　　First-aut